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Herpes Laryngitis and Tracheitis Causing Respiratory Distress in a Neonate
Valerie J. Vitale, MD;
Lisa Saiman, MD;
Joseph Haddad, Jr, MD
Arch Otolaryngol Head Neck Surg. 1993;119(2):239-240.
Abstract
• A newborn presented 1 week after birth with the sudden onset of stridor and respiratory distress. At endoscopy, the supraglottic and subglottic tissues were edematous and erythematous, and numerous plaquelike ulcers were seen on the mucosal surface. Cultures of the lesions yielded herpes simplex virus type 2. The infant required a prolonged course of acyclovir and remained intubated for 31 days, but ultimately had both virological and clinical cure. Evaluation and further treatment of this unusual presentation of herpes simplex virus are discussed, as are the implications of herpes infections in neonates.
(Arch Otolaryngol Head Neck Surg. 1993;119:239-240)
Author Affiliations
From the Department of Otolaryngology (Drs Vitale and Haddad), Babies Hospital, Columbia-Presbyterian Medical Center, and the Department of Pediatrics, Columbia University College of Physicians and Surgeons (Dr Saiman), New York, NY.
Footnotes
Accepted for publication September 15, 1992.
Presented in part at the 19th annual meeting of the Society for Ear, Nose, and Throat Advances in Children, Galveston, Tex, December 6, 1991.
Reprint requests to Department of Pediatric Otolaryngology, Babies Hospital, 3959 Broadway, Room 108N, New York, NY 10032 (Dr Haddad).
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